Individual
KATHERINE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 562-2370
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 553-7807
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0999828-NP
CO
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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